神阙灸对脑卒中后疲劳不同维度的影响

发布时间：2018-04-04 11:16

本文选题：神阙灸　切入点：普通针刺　出处：《福建中医药大学》2017年硕士论文

【摘要】：目的:本研究在前期预试验中发现神阙灸对于脑卒中后疲劳患者具有改善作用,进一步对神阙灸治疗PSF的影响进行探索;通过对神阙灸与普通针刺治疗脑卒中后疲劳不同维度(心理、生理、社会)之间对比研究,明确"神阙灸"治疗对脑卒中后疲劳具有显著效果,并尝试阐述其可能机制。方法:本课题对符合纳入标准的60例脑卒中后疲劳患者进行观察研究,采用简单化随机分组,分为2组,分别予神阙灸和普通针刺治疗,治疗过程中无患者脱落;治疗前、治疗后予疲劳严重度量表(FSS)、疲劳评定量表(FAI)、日常生活评定量表(ADL)进行评分,并采用统计软件SPSS20.0进行数据分析。结果:1、神阙组和针刺组患者的疲劳严重度量表(FSS)、疲劳评定量表(FAI)评分较治疗前均有所下降,与治疗前相比(P0.01),具有统计学意义;日常生活评定量表评分(ADL)总体分数较治疗前均明显上升,与治疗前相比(P0.01),具有统计学意义,说明两种治疗方式均能改善PSF患者的疲劳程度。2、神阙组和针刺组在治疗前疲劳严重度量表(FSS)、疲劳评定量表(FAI)、日常生活评定量表(ADL)相比较(P0.05)两组之间没有差异;治疗后两组瘀劳严重度量表(FSS)、疲劳评定量表(FAI)、日常生活评定量表(ADL)对比(P0.01),差异有意义,说明神阙灸组较针刺组能更好的改善PSF疲劳程度。结论:1、本文通过对治疗前后疲劳严重度量表(FSS)、疲劳评定量表(FAI)、日常生活评定量表(ADL)进行统计学比较,认为神阙灸对于PSF患者疲劳程度确实有改善。2、同时本课题所得出的疲劳严重度量表(FSS)、疲劳评定量表(FAI)各项数据为评价脑卒中后疲劳的疲劳程度提供了定量评价的参考方法。3、神阙灸是治疗脑卒中后疲劳的有效方法,是PSF患者一种简单、有效、经济低廉的治疗方式。
[Abstract]:Objective: this study found that Shenque moxibustion can improve the patients with post-stroke fatigue and further explore the effect of Shenque moxibustion on the treatment of PSF.By comparing the different dimensions (psychological, physiological and social) between Shenque moxibustion and common acupuncture in the treatment of post-stroke fatigue, it is clear that "Shenque moxibustion" has a significant effect on post-stroke fatigue, and the possible mechanism is discussed.Methods: 60 patients with post-stroke fatigue were observed and studied. They were randomly divided into two groups: Shenque moxibustion and common acupuncture.After treatment, fatigue severity scale (FSS), fatigue assessment scale (FAI) and daily life assessment scale (ADL) were used to score the data. The data were analyzed by SPSS20.0.Results the scores of FSSI, FAI and FSSI of the patients in the Shenque group and acupuncture group were lower than those before treatment, and had statistical significance compared with those before treatment.The total scores of ADL were significantly higher than those before treatment, and the scores of ADL were significantly higher than those before treatment (P 0.01).The results showed that the two treatment methods could improve the fatigue degree of PSF patients. There was no difference between Shenque group and acupuncture group in fatigue severity measure scale (FSS), fatigue rating scale (FAI) and daily life rating scale (ADL) in two groups (P 0.05).After treatment, there was a significant difference between the two groups in terms of severity measure of stasis and strain, fatigue rating scale and daily life rating scale. The difference was significant, which indicated that Shenque moxibustion group could improve the fatigue degree of PSF better than that of acupuncture group.Conclusion: 1. By comparing FSS, FAI, ADL before and after treatment, we compared the scores of FSS, FAI and ADL before and after treatment.It is believed that Shenque moxibustion can improve fatigue degree of PSF patients by 0.2. Meanwhile, the data of fatigue severity measure scale (FSS) and fatigue rating scale (Faii) obtained in this paper provide a quantitative evaluation of fatigue degree after stroke.Reference method. 3. Shenque moxibustion is an effective method for the treatment of post-stroke fatigue.It is a simple, effective and economical treatment for PSF patients.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

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